Individual
MICHAL NIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
12750 JUDY ST, DADE CITY, FL 33525-8323
(352) 567-2633
(352) 567-2633
Mailing address
12750 JUDY ST, DADE CITY, FL 33525-8323
(352) 567-2633
(352) 567-2633
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1927792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304196400
—
FL
Enumeration date
02/28/2006
Last updated
10/10/2013
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